安徽医学
安徽醫學
안휘의학
Anhui Medical Journal
2015年
11期
1336-1338
,共3页
巨大儿%初产妇%分娩方式%妊娠结局
巨大兒%初產婦%分娩方式%妊娠結跼
거대인%초산부%분면방식%임신결국
Macrosomia%Primiparous women%Delivery mode%Pregnancy outcome
目的：研究初产妇分娩巨大儿的相关围产因素与分娩方式的关系。方法回顾性分析2014年1月至12月在安徽省妇幼保健院分娩的529例无内外科合并症的分娩巨大儿的初产妇临床资料，并与529例同期随机选择的无合并症分娩正常体质量儿的初产妇进行比较。结果初产巨大儿母亲的身高、体质量（孕前体质量及分娩前体质量）、宫高、腹围、B 超测量的胎儿腹围、胎儿股骨长度均高于初产妇正常体质量儿组（ P <0.05）。初产巨大儿孕妇出现头盆不称、持续性枕横位或枕后位、子宫收缩乏力、会阴裂伤（Ⅲ度及以上）、胎儿窘迫、产后出血及新生儿窒息率高于初产妇正常体质量儿组（ P <0.05）。而初产妇巨大儿组的年龄、孕周、孕次、胎儿双顶径和择期剖宫产（未经阴道试产）率与正常体质量儿组比较差异无统计学意义（ P >0.05）。结论做好初产妇孕期饮食指导，加强围生期管理，预防巨大儿的同时，提高产前预测巨大儿准确率，选择适当的分娩方式对降低母婴并发症至关重要。
目的：研究初產婦分娩巨大兒的相關圍產因素與分娩方式的關繫。方法迴顧性分析2014年1月至12月在安徽省婦幼保健院分娩的529例無內外科閤併癥的分娩巨大兒的初產婦臨床資料，併與529例同期隨機選擇的無閤併癥分娩正常體質量兒的初產婦進行比較。結果初產巨大兒母親的身高、體質量（孕前體質量及分娩前體質量）、宮高、腹圍、B 超測量的胎兒腹圍、胎兒股骨長度均高于初產婦正常體質量兒組（ P <0.05）。初產巨大兒孕婦齣現頭盆不稱、持續性枕橫位或枕後位、子宮收縮乏力、會陰裂傷（Ⅲ度及以上）、胎兒窘迫、產後齣血及新生兒窒息率高于初產婦正常體質量兒組（ P <0.05）。而初產婦巨大兒組的年齡、孕週、孕次、胎兒雙頂徑和擇期剖宮產（未經陰道試產）率與正常體質量兒組比較差異無統計學意義（ P >0.05）。結論做好初產婦孕期飲食指導，加彊圍生期管理，預防巨大兒的同時，提高產前預測巨大兒準確率，選擇適噹的分娩方式對降低母嬰併髮癥至關重要。
목적：연구초산부분면거대인적상관위산인소여분면방식적관계。방법회고성분석2014년1월지12월재안휘성부유보건원분면적529례무내외과합병증적분면거대인적초산부림상자료，병여529례동기수궤선택적무합병증분면정상체질량인적초산부진행비교。결과초산거대인모친적신고、체질량（잉전체질량급분면전체질량）、궁고、복위、B 초측량적태인복위、태인고골장도균고우초산부정상체질량인조（ P <0.05）。초산거대인잉부출현두분불칭、지속성침횡위혹침후위、자궁수축핍력、회음렬상（Ⅲ도급이상）、태인군박、산후출혈급신생인질식솔고우초산부정상체질량인조（ P <0.05）。이초산부거대인조적년령、잉주、잉차、태인쌍정경화택기부궁산（미경음도시산）솔여정상체질량인조비교차이무통계학의의（ P >0.05）。결론주호초산부잉기음식지도，가강위생기관리，예방거대인적동시，제고산전예측거대인준학솔，선택괄당적분면방식대강저모영병발증지관중요。
Objective To provide the relationship between pregnancy outcome and relevant perinatal factors of macrosomia born by primiparous women. Methods The clinical data of 529 macrosomia fetuses,and 529 pregnant women who delivered mature and natural fetus as the control group were reviewed and analyzed. Results The stature,body weight during the third trimester of pregnancy,late pregnancy uterine height,abdominal circumference,fetal abdominal circumference,fetal femur length in macrosomia born by primiparous women group were significantly higher than those in normal weight infants born by primiparous women( P < 0. 05). The incidence of abnormal stages of la-bor,perineal or cervical lacerations,postpartum hemorrhage,neonatal asphyxia in macrosomia born by primiparous women group were signifi-cantly higher than those in normal weight infants born by primiparous women( P < 0. 05). There was no significant differences in gestational age,gestational weeks,biparietal diameter,gravidity,selective cesarean section rate between the two groups(P > 0. 05). Conclusion En-hancing perinatal management of primiparous women,choosing appropriate delivery modes are important for reducing maternal - infantile complications.
